Judge Application

Application for Judge

Please print all information

Name ____________________________________ DOB ____________

Address ___________________________________________________

City ____________________________ State ______ Zip ____________

Phone ________________________________

Email _________________________________

1. Please provide a brief history of your archery involvement.

2. Why would you like to be a Judge?

3. How do you want your name to appear on the Judge badge?

_________________________________

Signature _____________________________ Date _______________

Make check payable to USA Archery for $35.00, must be enclosed.

Return to Tom Green 9830 Tavernor Rd. Wilton, CA 95693